| NPI | 1568754042 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NJ 25MA11865300) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 280092) |
| 208M00000X Hospitalist (Licence: NY 280092) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CO DR.0067940) | |
| Enumeration Date | 2011-05-03 |
| Last Update Date | 2023-10-11 |